16 results
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Type B Aortic Dissection ... Echocardiogram - PLAX ... presents with chest pain ... Diagnosis? ... #Aortic #Dissection
Type A Aortic Dissection on Suprasternal Notch View - POCUS
Sudden onset chest pain. Disturbingly normal vitals.
Type A Aortic Dissection ... Sudden onset chest pain ... No pulse in LLE. ... Type A Aortic Dissection ... #Aortic #Dissection
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... dissection • ... regurgitation ... #Diagnosis #Algorithm
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Examine for: • Pulse ... deficit/differential ... #Dissection #diagnosis ... #management #vascular
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... Acute Management Pain ... High or low BP, Pulse ... #Dissection #Diagnosis ... #vascular
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Diagnosis Physiologic ... Pathologic: • Valvular ... regurgitation
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential ... Diagnosis and Pathophysiology ... Pathologic Causes: • Valvular ... disorders: - Aortic ... - Aortic sclerosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Diagnosis Framework ... Myopericarditis • Vascular ... : - Aortic dissection ... #Diagnosis #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Obstruction • Aortic ... Dissection ... Mediastinal Causes: - Vascular
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... /V/diaphoresis Aortic ... Dissection: - ... PEX: New murmur, Pulse ... Management #Algorithm #differential